Theodore James, MD
NPI 1598741050 · Family Medicine Physician · Blue Island, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore James, MD is a Family Medicine Physician provider in Blue Island, IL (NPI 1598741050).
Provider details
- NPI number
- 1598741050
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036039906 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
274 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 171 | $132 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 43 | $91 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 34 | $187 |
| Administration of Influenza Virus VaccineG0008 | 26 | $34 |
Typical Medicare-allowed amounts for these services range $34–$187 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 83 | 24 |
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 71 | 12 |
| Metoprolol Tartrate | 59 | 16 |
| Rosuvastatin Calcium | 57 | 17 |
| Simvastatin | 50 | 14 |
| Amlodipine Besylate | 49 | 15 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-16
- Last updated
- 2015-04-21
Frequently asked questions
- What is Theodore James's NPI number?
- Theodore James's National Provider Identifier (NPI) is 1598741050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore James's specialty?
- Theodore James is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore James located?
- Theodore James's practice location on file with NPPES is 2310 York St, Blue Island, IL 60406-2411.
- What is Theodore James's phone number?
- The practice phone number listed in the NPPES registry for Theodore James is (708) 388-4903.
- Does Theodore James accept Medicare?
- Theodore James is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore James's NPI active?
- Yes — Theodore James's NPI (1598741050) is active in the NPPES registry as of the last update on 2015-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.